MDMA (“Ecstasy”) Abuse and High-Risk Sexual Behaviors Among 169 Gay and Bisexual Men
American Journal of Psychiatry – July 01, 2000
Source: OpenAlex
Summary
One-third of gay and bisexual men surveyed at New York City dance clubs reported using MDMA, or “Ecstasy,” at least monthly. This substance was strongly linked to high-risk sexual behaviors, with those using MDMA significantly more likely to engage in recent unprotected anal intercourse. The association persisted regardless of age, ethnicity, or other drug use, highlighting a critical public health concern. Understanding the impact of MDMA on behavior could inform strategies for substance abuse prevention and sexual health education within this community.
Abstract
OBJECTIVE: The authors explored the association between abuse of 3,4-methylenedioxymethamphetamine (MDMA, or “Ecstasy”) and high-risk sexual behaviors among gay and bisexual men. METHOD: An anonymous questionnaire was completed by 169 gay and bisexual men at three New York City dance clubs. The questionnaire covered demographic indices, use of MDMA and other drugs, and history of high-risk sexual behaviors. RESULTS: About one-third of the respondents reported MDMA use at least monthly. MDMA use was strongly and significantly associated with a history of recent unprotected anal intercourse. This association remained equally strong even after controlling for age, ethnicity, and all other forms of drug use, including alcohol. CONCLUSIONS: MDMA abuse, and its strong association with high-risk sexual behaviors, appears to represent important unexplored public health problems among some gay or bisexual men.